Individual provider · Type 1 NPI
Lynn Stephanie Jackson Dorman, LMHC
Professional Counselor · St. Petersburg, FL
NPI number
1053959023
Active
Practice location
1700 Park St N Ste 110
St. Petersburg, FL 33710-4300
Mailing address
2407 W Conley Ave
Tampa, FL 33611-4762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1053959023
Lynn Stephanie Jackson Dorman, LMHC's National Provider Identifier is 1053959023, issued on Dec 20, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 17, 2025.